Making Sense of the MACRA Final Rule, Part 2 of 3: Alternative payment Models

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Many observers view the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) as a game changer for the delivery and payment of health care services.

On Oct. 14, 2016 the Centers for Medicare & Medicaid Services (CMS) published a final rule with comment period (final rule) implementing the bipartisan MACRA legislation. The rule finalizes regulations to replace the Medicare sustainable growth rate (SGR) formula. Under the new system, fee-for-service payment rates under the Medicare Physician Fee Schedule (MPFS) are linked to care delivery, quality and value-based variables.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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